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Vermont rates for HCPCS 95984

Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming, each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $48.98 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $60.26 / $100.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $125.89